Individual
SHAWN THOMAS BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(419) 560-8962
Mailing address
13083 FREDERICKTOWN AMITY RD, FREDERICKTOWN, OH 43019-9602
(419) 560-8962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373693
—
OH
Enumeration date
08/28/2019
Last updated
02/25/2020
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